Evidence map›Paper›PMID 35106414›Full record

ArticleAnnals of gastroenterological surgery2022

Impact of Reconstruction Route on Postoperative Morbidity After Esophagectomy: Analysis of Esophagectomies in the Japanese National Clinical Database.

Hirotoshi Kikuchi, Hideki Endo, Hiroyuki Yamamoto, Soji Ozawa, Hiroaki Miyata, Yoshihiro Kakeji, Hisahiro Matsubara, Yuichiro Doki, Yuko Kitagawa, Hiroya Takeuchi

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hirotoshi KikuchiDepartment of Surgery Hamamatsu University School of Medicine Hamamatsu Japan.ORCID https://orcid.org/0000-0002-1776-1020
Hideki EndoDepartment of Healthcare Quality Assessment The University of Tokyo Tokyo Japan.
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-3337-7595
Soji OzawaDepartment of Gastroenterological Surgery Tokai University School of Medicine Isehara Japan.ORCID https://orcid.org/0000-0001-6130-1753
Hiroaki MiyataDepartment of Healthcare Quality Assessment The University of Tokyo Tokyo Japan.
Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine Kobe University Kobe Japan.ORCID https://orcid.org/0000-0002-2727-0241
Hisahiro MatsubaraDepartment of Frontier Surgery Chiba University Graduate School of Medicine Chiba Japan.ORCID https://orcid.org/0000-0002-2335-4704
Yuichiro DokiThe Japan Esophageal Society Tokyo Japan.
Yuko KitagawaDepartment of Surgery Keio University School of Medicine Tokyo Japan.
Hiroya TakeuchiDepartment of Surgery Hamamatsu University School of Medicine Hamamatsu Japan.ORCID https://orcid.org/0000-0002-3947-0128

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophagectomy followed by gastric conduit reconstruction is a standard surgical procedure for esophageal cancer. However, there is no evidence of the superiority or inferiority of the posterior mediastinal (PM) versus the retrosternal (RS) reconstruction route with regard to short-term outcomes after esophagectomy. We aimed to elucidate whether the reconstruction route can affect the short-term outcomes after esophagectomy followed by gastric conduit reconstruction.

methodsWe reviewed the clinical data of patients who underwent esophagectomy between 2016 and 2018 from the Japanese National Clinical Database. This study included 9786 patients who underwent gastric conduit reconstruction through the PM or RS route with cervical anastomosis.

resultsOf the 9786 patients analyzed, 3478 and 6308 underwent gastric conduit reconstruction thorough the PM and RS routes, respectively. The incidence of anastomotic leak and surgical site infection (SSI) was significantly lower in the PM group than in the RS group (11.7% vs 13.8%,

conclusionThe findings of this study will help surgeons to design the reconstruction route following esophagectomy.

Indexed as

anastomotic leaknational clinical databasepneumoniaposterior mediastinal routeretrosternal routesurgical site infection

Identifiers

PMID35106414
PMCPMC8786683

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.